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Original Paper

Impact of Tongue Reduction on Overall Speech Intelligibility, Articulation and Oromyofunctional Behavior in 4 Children with Beckwith-Wiedemann Syndrome

Van Lierde K.b · Galiwango G.a · Hodges A.a · Bettens K.b · Luyten A.b · Vermeersch H.b

Author affiliations

aDepartment of Plastic Surgery, CoRSU Rehabilitation Hospital, Kampala, Uganda; bDepartment of ENT, Head and Neck Surgery and Logopaedics, University Hospital Gent, Gent, Belgium

Related Articles for ""

Folia Phoniatr Logop 2012;64:55-63

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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Published online: November 16, 2011
Issue release date: May 2012

Number of Print Pages: 9
Number of Figures: 0
Number of Tables: 2

ISSN: 1021-7762 (Print)
eISSN: 1421-9972 (Online)

For additional information: http://www.karger.com/FPL

Abstract

Objective: The purpose of this study was to determine the impact of partial glossectomy (using the keyhole technique) on speech intelligibility, articulation, resonance and oromyofunctional behavior. Patients and Methods: A partial glossectomy was performed in 4 children with Beckwith- Wiedemann syndrome between the ages of 0.5 and 3.1 years. An ENT assessment, a phonetic inventory, a phonemic and phonological analysis and a consensus perceptual evaluation of speech intelligibility, resonance and oromyofunctional behavior were performed. Results: It was not possible in this study to separate the effects of the surgery from the typical developmental progress of speech sound mastery. Improved speech intelligibility, a more complete phonetic inventory, an increase in phonological skills, normal resonance and increased motor-oriented oral behavior were found in the postsurgical condition. The presence of phonetic distortions, lip incompetence and interdental tongue position were still present in the postsurgical condition. Conclusion: Speech therapy should be focused on correct phonetic placement and a motor-oriented approach to increase lip competence, and on functional tongue exercises and tongue lifting during the production of alveolars. Detailed analyses in a larger number of subjects with and without Beckwith-Wiedemann syndrome may help further illustrate the long-term impact of partial glossectomy.

© 2011 S. Karger AG, Basel


Article / Publication Details

First-Page Preview
Abstract of Original Paper

Published online: November 16, 2011
Issue release date: May 2012

Number of Print Pages: 9
Number of Figures: 0
Number of Tables: 2

ISSN: 1021-7762 (Print)
eISSN: 1421-9972 (Online)

For additional information: http://www.karger.com/FPL


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